Individual
AMRIT VAIDYANATH VINOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5841 S MARYLAND AVE, CHICAGO, IL 60637-1443
(773) 834-3531
Mailing address
150 HARVESTER DR STE 300, BURR RIDGE, IL 60527-5965
(773) 702-1150
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
125.079170
IL
390200000X
Student in an Organized Health Care Education/Training Program
S09100492
MA
Other
Enumeration date
04/12/2017
Last updated
06/02/2022
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